Nursing Elites

1. A diabetic patient's blood sugar is 180mg/dL. Their usual insulin dose is 1 unit per 40mg/dL above 100mg/dL. How much insulin should be administered?

• A. 2 units
• B. 3 units
• C. 4 units
• D. 5 units

Correct answer: B

Rationale: Rationale: 1. Calculate the excess blood sugar above 100mg/dL: 180mg/dL - 100mg/dL = 80mg/dL. 2. Determine the insulin dose based on the patient's usual insulin dose: 80mg/dL / 40mg/dL = 2 units. 3. Add the calculated insulin dose to the patient's usual insulin dose: 1 unit (usual dose) + 2 units (calculated dose) = 3 units. Therefore, the correct answer is 3 units of insulin should be administered to the diabetic patient with a blood sugar level of 180mg/dL.

2. What type of sentence is the following: "Wow, what a beautiful sunset!"

• A. Interrogative sentence
• B. Declarative sentence
• C. Exclamatory sentence
• D. Imperative sentence

Correct answer: C

Rationale: The sentence expresses an emotion ("Wow") and makes an exclamation, making it an exclamatory sentence.

3. Which of the following best describes the function of the pericardium?

• A. It regulates blood flow through valves within the heart.
• B. It acts as a protective sac surrounding the heart.
• C. It generates the electrical impulses for heart contractions.
• D. It transmits electrical signals between the atria and ventricles.

Correct answer: B

Rationale: The correct answer is B: "It acts as a protective sac surrounding the heart." The pericardium is a double-layered membrane that surrounds and protects the heart, providing physical support and preventing overexpansion. It also helps reduce friction between the heart and surrounding structures during heartbeats. Options A, C, and D are incorrect as they describe functions of other parts of the heart such as valves, electrical impulse generation, and transmission pathways, respectively. Understanding the role of the pericardium in protecting the heart is crucial for comprehending the anatomical and physiological aspects of the cardiovascular system.

4. During a healthy heartbeat, the P wave on an ECG represents

• A. The repolarization of the ventricles.
• B. The electrical conduction through the AV node.
• C. The contraction phase of the ventricles (systole)
• D. The depolarization of the atria.

Correct answer: D

Rationale: The correct answer is D: The P wave on an ECG represents the depolarization of the atria. During a healthy heartbeat, the P wave is the first positive deflection seen on the ECG and reflects the initiation of the electrical impulse in the atria, leading to atrial contraction. It is followed by the QRS complex, which represents the depolarization of the ventricles. Options A, B, and C are incorrect because the P wave specifically corresponds to atrial depolarization, not repolarization of the ventricles, electrical conduction through the AV node, or ventricular contraction. Understanding the sequence of electrical events in the heart as represented on an ECG is crucial for interpreting cardiac function and identifying potential abnormalities.

5. In the cardiovascular system, what is the primary function of red blood cells?

• A. To transport oxygen throughout the body.
• B. To fight infection and disease.
• C. To help regulate blood clotting.
• D. To remove waste products from the body.

Correct answer: A

Rationale: The correct answer is A: 'To transport oxygen throughout the body.' Red blood cells contain hemoglobin, a protein that binds to oxygen in the lungs and carries it to tissues throughout the body. This process is essential for cellular respiration, where oxygen is used to produce energy. Red blood cells do not fight infection (B), regulate blood clotting (C), or remove waste products (D); those functions are carried out by other components of the immune and circulatory systems.

6. What is the oxidation state of carbon in CH4?

• A. +1
• B. -1
• C. +2
• D. -4

Correct answer: d

Rationale: Each hydrogen atom has an oxidation state of +1, and the sum of oxidation states in CH4 is 0. Therefore, carbon has an oxidation state of -4.

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